[PDF] 2015 Form 1041 (Schedule K-1) This list identifies the codes

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Schedule K-1

(Form 1041)

Department of the Treasury

Internal Revenue Service

20 15

For calendar year 2015,

or tax year beginning, 2015, and ending , 20 Beneficiary's Share of Income, Deductions, Credits, etc.

See back of form and instructions.

Final K-1Amended K-1

661113

OMB No. 1545-0092

Information About the Estate or Trust Part I

A Estate's or trust's employer identification number B Estate's or trust's name C Fiduciary's name, address, city, state, and ZIP code DCheck if Form 1041-T was filed and enter the date it was filed ECheck if this is the final Form 1041 for the estate or trust

Information About the BeneficiaryPart II

F

Beneficiary's identifying number

G Beneficiary's name, address, city, state, and ZIP code H Domestic beneficiaryForeign beneficiaryBeneficiary's Share of Current Year Income,

Deductions, Credits, and Other Items

Part III

1 Interest income

2a Ordinary dividends

2b Qualified dividends

3 Net short-term capital gain

4a Net long-term capital gain

4b 28% rate gain

4c Unrecaptured section 1250 gain

5

Other portfolio and

nonbusiness income

6 Ordinary business income

7 Net rental real estate income

8 Other rental income

9Directly apportioned deductions

10 Estate tax deduction11Final year deductions

12Alternative minimum tax adjustment13Credits and credit recapture

14Other information*See attached statement for additional information.

Note.

A statement must be attached showing the

beneficiary's share of income and directly apportioned deductions from each business, rental real estate, and other rental activity.

For IRS Use Only

For Paperwork Reduction Act Notice, see the Instructions for Form 1041. IRS.gov/form1041Cat. No. 11380D Schedule K-1 (Form 1041) 2015

Schedule K-1 (Form 1041) 2015Page 2

This list identifies the codes used on Schedule K-1 for beneficiaries and provides summarized reporting information for

beneficiaries who file Form 1040. For detailed reporting and filing information, see the Instructions for Schedule K-1 (Form

1041) for a Beneficiary Filing Form 1040 and the instructions for your income tax return.

Report on

1. Interest income Form 1040, line 8a

2a. Ordinary dividends Form 1040, line 9a

2b. Qualified dividends Form 1040, line 9b

3. Net short-term capital gain Schedule D, line 5

4a. Net long-term capital gain Schedule D, line 12

4b. 28% rate gain 28% Rate Gain Worksheet, line 4

(Schedule D Instructions)

4c. Unrecaptured section 1250 gain Unrecaptured Section 1250 Gain Worksheet, line 11 (Schedule D

Instructions)

5. Other portfolio and nonbusiness

income Schedule E, line 33, column (f)

6. Ordinary business income

Schedule E, line 33, column (d)

or (f)

7. Net rental real estate income Schedule E, line 33, column (d)

or (f)

8. Other rental income Schedule E, line 33, column (d)

or (f)

9. Directly apportioned deductions

Code A

Depreciation

Form 8582 or Schedule E, line

33, column (c) or (e)

B

Depletion

Form 8582 or Schedule E, line

33, column (c) or (e)

C

Amortization

Form 8582 or Schedule E, line

33, column (c) or (e)

10. Estate tax deduction Schedule A, line 28

11. Final year deductions

A

Excess deductions Schedule A, line 23

B Short-term capital loss carryover Schedule D, line 5 C

Long-term capital loss carryover

Schedule D, line 12; line 5 of the

wksht. for Sch. D, line 18; and line 16 of the wksht. for Sch. D, line 19 D

Net operating loss carryover -

regular tax Form 1040, line 21 E

Net operating loss carryover -

minimum tax Form 6251, line 11

12. Alternative minimum tax (AMT) items

A

Adjustment for minimum tax purposes

Form 6251, line 15

B

AMT adjustment attributable to

qualified dividends C

AMT adjustment attributable to

net short-term capital gain D

AMT adjustment attributable to

net long-term capital gain E

AMT adjustment attributable to

unrecaptured section 1250 gain F

AMT adjustment attributable to

28% rate gain

G

Accelerated depreciation

H

Depletion

I

Amortization

J

Exclusion items 2016 Form 8801

See the beneficiary's

instructions and the Instructions for Form 6251 13. Credits and credit recapture

Code Report on

A

Credit for estimated taxes Form 1040, line 65

B

Credit for backup withholding Form 1040, line 64

C

Low-income housing credit

D

Rehabilitation credit and energy credit

E Other qualifying investment credit

F

Work opportunity credit

G

Credit for small employer health

insurance premiums H

Biofuel

producer credit I

Credit for increasing research

activities J

Renewable electricity, refined coal,

and Indian coal production credit K

Empowerment zone employment credit

L

Indian employment credit

M

Orphan drug credit

N

Credit for employer-provided child

care and facilities O

Biodiesel and renewable diesel

fuels credit P

Credit to holders of tax credit bonds

Q

Credit for employer differential wage

payments R

Recapture of credits

See the beneficiary"s instructions

14. Other information

A

Tax-exempt interest Form 1040, line 8b

B

Foreign taxes Form 1040, line 48 or

Sch. A, line 8

C

Qualified production activities income Form 8903, line 7, col. (b) (also see the beneficiary's instructions)

D

Form W-2 wages Form 8903, line 17

E

Net investment income Form 4952, line 4a

F

Gross farm and fishing income Schedule E, line 42

G

Foreign trading gross receipts

(IRC 942(a)) See the Instructions for Form 8873 H

Adjustment for section 1411 net

investment income or deductionsForm 8960, line 7 (also see the beneficiary's instructions) I

Other information

See the beneficiary's instructions

Note. If you are a beneficiary who does not file a Form 1040, see instructions for the type of income tax return you are filing.quotesdbs_dbs21.pdfusesText_27

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